5003 00 02 dc form-2025

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The document is an application form for refunding compulsory retirement contributions under the Foreign Service Retirement System. It requires personal information from the applicant, including details about any former spouse who may be entitled to a share of the refund. The form outlines eligibility criteria, implications of receiving a refund, and legal warnings regarding false statements. It also includes instructions on where to submit the application based on the duration of separation from service.

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